• Title/Summary/Keyword: low income elderly

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Functional Status and Long-Term Care Services for the Community-Dwelling Low-Income Elderly (저소득층 재가노인의 기능상태와 요구되는 요양서비스 유형 분석)

  • Jeon, Eun-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.12 no.2
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    • pp.92-101
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    • 2009
  • Purpose: This study was conducted to explore the functional status and long-term care services for the community-dwelling low-income elderly. Method: A descriptive research design was used in this study. The functional status of the participants was obtained using Minimum Data Set-Home Care Version 2.0 and the long-term care services were identified via Michigan's choice. Total of 154 persons aged 65 years or older completed Korean Minimum Data Set-Home Care Version 2.0 on the community dwelling low-income elderly. Results: The average of Activities of Daily Living was 4.19, and the range was 0-55, while the average of Instrument of Activities of Daily Living was 4.85 and the range was 0-56. Among the subjects, 46.1% belonged to the Information and Referral group and 1.3% to the Nursing Home group. Severe daily pain was reported by 14.9%, and 76.6% of the participants had impaired vision. The Activities of Daily Living was difference according to living with, education, vision, and depression. The long-term care services differed according to gender, pain, vision, hearing, and depression. Conclusion: The support policy for the elderly needed to focus on impaired visual and depression to enhance the activities of daily living. Moreover, there is a need for the Information and Referral group to arrange and develop nursing intervention resources.

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Experiences of Depression in Low Income Elderly Women (저소득 여성노인의 우울 경험)

  • Kim, Jeung-Im;Son, Haeng-Mi
    • Women's Health Nursing
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    • v.22 no.4
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    • pp.241-253
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    • 2016
  • Purpose: The purpose of this qualitative research was to understand the meaning of the depression in low income elderly women. Methods: Participants were 15 elderly women, aged between 60 and 80 who were registered in two senior welfare centers in Seoul. Data were collected from June to December, 2012 after having obtained consent from participants. In-depth interviews were done with open-ended questions about their depression experiences, which were audio-taped and transcribed with verbatim. Data were analyzed using qualitative content analysis to discover the categories considering their relationships and abstractness. Results: Depressions of aged women were a part of the their life throughout their long lived hardship and was implied unhealed wounds within the relationship. Participants did not know how to manage with depression symptoms that they tried to overcome individually but due to decreased activities and interpersonal relationships, their depressions were tended to continue. They have tried to get out from depressive symptoms, but it still remains unseen shadow of mind. Conclusion: This results suppose that social support and aged welfare policy included reliving the economical difficulty and improving relationships will be provided to manage the depression for low income elderly women.

A Study on the Actual Condition of Dental Prosthesis of the Elderly in Seoul and Gyeonggi-do (서울 및 경기지역 노인의 치과보철물 실태에 대한 조사 연구)

  • Lee, Tae-Jung;Jung, Jung-Ock;Lee, Kyeong-Hee
    • Journal of Technologic Dentistry
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    • v.33 no.4
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    • pp.369-378
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    • 2011
  • Purpose: This study was carried out for the purpose of obtaining basic data necessary for developing the future oral health promotion program of the elderly by surveying the actual condition of managing dental prosthesis in the elderly. Methods: It collected materials targeting 346 elderly brackets in over 65 years old who dwell in Seoul and Gyeonggi-do Province for about 10 months from September 2010 to June 2011, analyzed 312 copies except 34 copies, which are inappropriate for data processing due to being insufficient in response among these things, and obtained the following results. Results: In the actual condition of missing tooth, a case of missing tooth was indicated to be 78.8%. In case of missing tooth, the number of missing teeth was indicated to be 75.6% for under 5 pieces and 19.1% for over 21 pieces. In the actual condition of managing prosthesis, a case with dental prosthesis treatment was indicated to be 77.6%. A kind of prosthesis was indicated to be the highest in fixed partial dentures with 36.5%. In a method of rinsing dentures, 47.7% of the elderly responded as saying of washing it out with water. The appearance of removing dentures at night was indicated to be the highest in doing so with 63.1%. Satisfaction with prosthesis of being mounted now was indicated to be moderate with 50.4%. As for the appearance of having experience of education on how to manage prosthesis, it was indicated to be high with 50.4% in having none. In a kind of prosthesis depending on averagely monthly income, the ratio of total dentures was high when averagely monthly income is low. On the other hand, a case with high income was indicated to have high ratio in implants. The satisfaction with prosthesis was low when averagely monthly income is low. Also, in the experience of education on how to manage prosthesis, the ratio of responses as saying of having no experience of education on how to manage prosthesis was indicated to be high when averagely monthly income is low. Conclusion: Examining the above results, a developmental plan is considered to be necessary such as developing continuous and systematic oral health promotion program for managing elderly people's managing dental prothesis.

A pilot study for target selection of Korean Medicine public health promotion programs on single person, low income, senior households: Based on the 2017 Korean National Health and Nutrition Examination Survey (65세 이상 저소득층 1인 가구 대상 한의약 건강증진 프로그램 타겟 선정을 위한 탐색적 조사연구: 2017년 국민건강영양조사 결과를 바탕으로)

  • Ko, Youme;Cho, Wonje;Im, Jungkwon;Jeon, Yoonjeong;Kang, Kyungrae;Shin, Yong Cheol;Jang, Bo-Hyoung;Ko, Seong-Gyu
    • Journal of Society of Preventive Korean Medicine
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    • v.23 no.1
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    • pp.73-82
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    • 2019
  • Objectives : The aim of this study was to explore the general characteristics and health risk factors of the low income single person household in elderly Korean population for target selection of Korean medicine public health promotion program. Methods : We collect the 826 low income over 65 years old participants data from 7th Korean National Health and Nutrition Examination Survey. The demographic, life habit, health status, medical history were used to compare the difference between single and multiple low income senior households. Results : All variables except drinking and smoking were statistically significant between single and multiple low income senior households. The health risk factors in single low income senior households were gender, overweight, Medicaid, annual drinking habit, diagnosis of diabetes. Conclusions : Through this study, we found out that the overweight, monthly drinking habit, diagnosis of diabetes were health risk factors in low income senior single households.

The Multimediating Effect of Health Status and Neighborhood Relationships on the Effect of Social Security Benefit Levels on Depression in Low-income Recipient Elderly (저소득 수급노인의 사회보장급여 수준이 우울에 미치는 영향에 대한 건강상태와 이웃관계의 다중매개효과)

  • Lee, Hyoung-Ha
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.07a
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    • pp.375-376
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    • 2021
  • 본 연구는 G광역시 영구임대아파트에 거주하는 저소득 수급노인조사(2019년) 데이터를 활용하여 저소득 노인의 사회보장급여 수준이 우울에 미치는 영향에 대한 건강상태와 이웃관계가 보호효과로 작용하는지에 대한 다중매개효과를 검증하고자 한다.

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Comparison of subjective health condition and subjective oral health condition of the elderly in Gumi (구미 지역 노인의 주관적 건강상태 및 구강건강상태 수준비교)

  • Kim, Han-Na;Ku, In-Young;Kim, Eun-Hee;Lee, Myeong-Seon;Ka, Kyung-Hwan;Moon, Seon-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.685-692
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    • 2013
  • Objectives : Rapid aging is a big social issue and aging influences on the quality of life in elderly people. Oral health in elderly people related to the general health condition and it is necessary to improve the quality of life in the elderly people. The aim of the study is to investigate the influencing factors of oral health in the elderly people. Methods : Self-reported questionnaire included general characteristics, subjective health and oral condition and denture use. Subjects were 177 elderly people in Gumi, Korea. SAS (Ver.9.2) Program was used for the collected data to perform frequency analysis, cross tabulation, t-test and ANOVA. Results : Higher subjective oral health score were found in younger age, highly educated, high income, and married elderly people. Elderly people who were older and had low education and low income tended to use denture Conclusions : It is necessary to develop oral health care management and prevention program for the elderly people.

A Qualitative Study on the Experiences of Congregate Meal Services from the Low-income Elderly (취약계층 노인의 경로식당 급식 서비스 경험에 관한 질적 연구: 침묵의 밥)

  • Seo, Sunhee;Yu, Eunju;Ahn, Jiyoon
    • Journal of the Korean Dietetic Association
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    • v.19 no.3
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    • pp.298-308
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    • 2013
  • The elderly population in Korea is rapidly growing. As the population ages, meals become a greater concern, as physical and psychological health problems are directly affected by dietary life, especially for the lower-income elderly. Although the government provides support through a free congregate meal service, there is a lack of systematic management of this meal service. This study investigates the experience of the elderly, especially the symbolic meaning and issues regarding the congregate meal service in their dietary life, to establish strategies for improving congregate meal services. Qualitative data was collected from ten elderly receivers of meal services through in-depth interviews and data was analyzed using Colaizzi's phenomenological research methods. Overall, 90 significant statements, 13 formulated meanings, and five theme clusters were deduced. The five theme clusters for the importance of meal services to the elderly included the followings: "a real meal", "enjoyment of living", "maintenance of regular life", "place for social life" and "meal of silence". We found that the elderly regarded the congregate free meal service not only as meals to appreciate but also as a form of social life. Furthermore, the elderly did not typically express any complaints regarding congregate meal services because they are free. The results showed that it might be difficult to evaluate the quality of meal services based on the opinions of the service receivers. This study suggests it is necessary to develop multilateral evaluation methods to reflect the needs of the elderly and to improve the congregate meal services at elderly welfare centers.

Physical Health Status, Depression and Activities of Daily Living of the Low-income Elderly Living Alone in Metropolitan Areas (대도시 저소득 독거노인의 신체적 건강상태, 우울 및 일상 활동 능력)

  • Kim, Yeon-Hwa
    • Research in Community and Public Health Nursing
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    • v.16 no.2
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    • pp.137-147
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    • 2005
  • Purpose: This study was conducted to investigate physical health status. depression. activities of daily living (ADL & IADL) of the low-income elderly who live alone in urban areas. Method: The subjects were the 400 low-income elders who live alone in Daegu city and the following instruments were used: 1. The number of self-reported physical health problems and present diseases: 2. CES-D scale for depression by Jo Nam-Oak et al. (1998): and 3. ADL scale by Katz (1989) and IADL scale by Lawton and Brody (1969). Results: 1. Visual difficulty was the most prevailing problem (55.3%) among physical problems. the second bowel elimination and the third hearing disturbance. As for present diseases. arthritis (26.5%), hypertension(24.3%) and DM (11.8%) were the most common diseases. 2. There were significant differences in physical health status according to age (t=3.115. p=.045). kind of medical security (t=-1.973. p=.049). perceived life satisfaction (F=4.966. p=.007) and the number of present diseases (F=2.937. p=.033). 3. There were significant differences in depression according to sex (t=-3.758. p=.000) . kind of medical security (t=-4.368. p=.000). perceived life satisfaction (F=35.743. p=.000) and the number of present diseases (F=4.246. p=.006). 4. There were significant differences in ADL according to sex (t=-2.136. p=.033) and age (F=4.863. p=.008). and in IADL according to sex (t=4.552, p=.000), age (F=3.090. p=.047) and kind of medical security (t=-3.306. p=.001). 5. Physical health state was correlated positively with both the number of present diseases (r=.140. p=.005) and depression (r=.352. p=.000), and negatively with ADL (r=-.176. p= .000) and IADL (r= -.230. p=.000). Depression was correlated positively with the number of present diseases (r=.169. p=.001) and negatively with both ADL (r=-.139. p=.005) and IADL (r=-.203. p= .000). Conclusion: The results of this study suggest that general characteristics are important factors for physical health status, depression. ADL and IADL of the low-income elderly who live alone and there are close relations among physical health status, the number of diseases, depression, ADL and IADL. Therefore, these results must be reflected in community health programs for the low-income elderly who live alone. In addition, this kind of study must be extended to the low-income elderly who live alone in rural areas.

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Effect of Food Commodity Supplementary Program for Low Income Elderly People (저소득층 독거노인의 식품지원 프로그램 효과)

  • Park, Hee-Jung;Lim, Bo-Kyung;Kim, Wha-Young
    • Journal of the Korean Society of Food Culture
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    • v.22 no.1
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    • pp.149-156
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    • 2007
  • This study was performed to evaluate the effectiveness of food commodity supplementary program for low-income, living alone elderly people. The subjects were 57 low income aged females who lived alone in Bucheon city. The food commodity supplementary program lasted for 6 months, supplying one meal per day consisting with grains, meat, vegetables, dairy and fruit. Dietary intake, anthropometric measurements, and blood profiles were assessed. After 6 months of food commodity supplemented period, dietary intakes of protein(p<0.05), calcium(p<0.05), iron(p<0.05) and vitamin B(p<0.001) were significantly increased. The mean weight(p<0.05) and BMI(p<0.05) were increased, and the frequency of BMI over 25kg/m$^2$ was also raised from 54.4% to 59.7%. Serum concentrations of total protein(p<0.001) and albumin(p<0.001) were significantly increased, indicating improvement of protein status. The frequency of anemia was decreased from 45.6% to 26.3%. However, the proportion of dyslipidemia was increased. In general the stable food commodity supplementary program was effective to improve general nutritional status of the poor aged who lived alone, however, nutrient intakes still did not meet RDA for the elderly and the rates of obesity and dyslipidemia were increased. Therefore, local government should provide more active food support program and the selection of food items for commodity should be evaluated at regular intervals.

Comparative Analysis of the Poverty-Mitigating Effects Originated from Transfer Income Systems among Single-Elderly-Households (이전소득의 독거노인가구 빈곤경감 효과 비교)

  • Kim, Sooyoung;Lee, Kanghoon
    • 한국노년학
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    • v.29 no.4
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    • pp.1559-1575
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    • 2009
  • As the basic old-age pension system was enforced in 2008, the base for old-age income security was founded. However, due to the basic old-age pension played a minor role as assistant allowance, it did not reach to sufficient level to cover full income security system. It is estimated that the dependency on private transfer income among the elderly who are difficult to be economically independent is still high. Therefore the poverty rate of the elderly households, who are not economically active or who are not protected by old-age income security system, is more likely to be higher than that of non-elderly households. Based on the assumption that public transfer income system should become a central means of old-age life guarantee, this study examined the poverty mitigation effects among the elderly households by comparing the private transfer income and the public transfer income. For this purpose, we selected single-elderly-households who have been considered the most vulnerable to poverty. We used 2006- 2008 Household Income and Expenditure Survey dataset that contained single-elderly who were older than 65 years old. To understand the conditions of poverty among single-elderly-households and the degree of poverty-reducing effect originated from income transfer system, we compared the poverty rates of total households and the whole elderly households. Next, we analysed the poverty of the single-elderly-households by social demographic factors such as gender, age, and economic activity. Our major findings are as follows: First, the poverty rate of the whole elderly households were not reduced, even though the basic old-age pension and long-term care management system were enforced in 2008. Second, half of the elderly households including single-elderly-households belonged to the absolute poverty line. Relatively higher level of poverty among the single-elderly-households was found especially those who were female, unemployed, low-educated, older, and rural single-elderly-households. Third, the effect of the public transfer income on mitigating the single-elderly-households poverty showed a little progress. However, even greater poverty reducing effect was found by the private transfer income system. Fourth, in a group of the public transfer systems, the public assistance such as supporting living costs contributed more to reduce poverty of the elderly population than the public pension system did.